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Welcome to Fayette Chiropractic Center
Dr. Linda H. Katz
CASE INFORMATIONWorkers Comp
Personal
Auto Accident
Slip/Fall
Others
Have you lost time from work due to your condition?
Yes
Who referred you
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Start by entering your full name in the designated field.
02
Provide your contact information including your phone number and email address.
03
Fill in your date of birth and gender.
04
Specify your existing medical conditions and any medications you are currently taking.
05
Answer the questionnaire regarding your symptoms or reason for visiting Fayette Chiropractic.
06
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07
Finally, review the form to ensure all the provided information is accurate and complete before submitting.
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Welcome to Fayette Chiropractic is needed by new patients or individuals who are visiting the clinic for the first time.
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This form is essential for anyone seeking chiropractic care or treatment from Fayette Chiropractic.
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What is welcome to fayette chiropractic?
Welcome to Fayette Chiropractic is a traditional chiropractic clinic that provides holistic treatment for patients to enhance their overall health and well-being through spinal adjustments and various therapies.
Who is required to file welcome to fayette chiropractic?
Individuals seeking chiropractic treatment at Fayette Chiropractic are required to fill out necessary intake forms to provide their medical history and consent for treatment.
How to fill out welcome to fayette chiropractic?
To fill out the intake forms for Fayette Chiropractic, patients should complete all provided sections, including personal information, medical history, and insurance details, and submit them to the front desk upon arrival.
What is the purpose of welcome to fayette chiropractic?
The purpose of Welcome to Fayette Chiropractic is to guide new patients through the intake process, ensuring that they receive personalized and effective chiropractic care tailored to their specific health needs.
What information must be reported on welcome to fayette chiropractic?
Patients must report their contact information, medical history, current health conditions, treatments they have received, and any medications they're taking when filling out the forms.
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